新疆乌鲁木齐市城乡40岁以上居民慢性阻塞性肺疾病的患病情况与相关危险因素分析  

Analysis on the prevalence and risk factors of chronic obstructive pulmonary disease among urban and rural residents over 40 years old in Urumqi Xinjiang

作　　者：罗倩 王晓园[1] 张海涛[1] 陈艺慧[1] 向赟 马媛 闵丽[1] 黄玉蓉[1] LUO Qian;WANG Xiao-yuan;ZHANG Hai-tao;CHEN Yi-hui;XIANG Yun;MA Yuan;MIN Li;HUANG Yu-rong(Department of Respiratory and Critical Care Medicine,Xinjiang Production and Construction Corps Hospital,Urumqi,Xinjiang 830000,China)

机构地区：[1]新疆生产建设兵团医院呼吸与危重症医学科

出　　处：《临床肺科杂志》2019年第9期1562-1567,共6页Journal of Clinical Pulmonary Medicine

基　　金：中华医学会临床医学科研专项资金项目(No 08020650143)

摘　　要：目的调查新疆乌鲁木齐市城乡慢性阻塞性肺疾病(COPD)的患病情况分析相关危险因素。方法采用统一的流行病学调查问卷,以分层整群随机抽样方法,在乌鲁木齐市区及农村分别随机抽取两个社区,对其常驻40岁以上居民11200进行流行病学调查,对所有样本进行问卷调查,并完善肺功能检测,整理资料,对COPD的相关危险因素进行统计分析。结果该地区40岁以上人群COPD总体患病率为9.86%,其中男性患病率明显高于女性(χ^2=97.741,P<0.001),农村患病率高于城市(χ^2=12.629,P<0.001);经多因素Logistic回归分析,COPD的主要危险因素有:吸烟、高龄、家族肺病史、幼年肺病史、厨房无排风装置、低体重和有职业粉尘暴露。结论新疆乌鲁木齐市城乡40岁以上居民COPD患病率较高,危险因素较多,应高度引起重视。Objective To investigate the prevalence and analyze related risk factors of chronic obstructive pulmonary disease in Xinjiang Urumqi urban and rural.Methods It used unified epidemiological questionnaire and stratified cluster random sampling method to select two communities in urban and rural areas of Urumqi,and 11200 residents over 40 years old were given epidemiological investigations.All of them were given a questionnaire survey,and their lung function tests were completed to analyze the relevant risk factors of COPD.Results In the region,the overall prevalence of COPD patients over 40 years old was 9.86%,of which the male prevalence rate was significantly higher than the female prevalence rate(χ^2=97.741,P<0.001),and the rural prevalence rate was higher than the urban prevalence rate(χ^2=12.629,P<0.001).Through multivariate logistic regression analysis,the main risk factors for COPD included smoking,senior age,history of family lung disease,history of juvenile lung disease,kitchen without exhaust device,low body weight and occupational dust exposure.Conclusion The prevalence of chronic obstructive pulmonary disease in urban and rural residents over 40 years old in Urumqi,Xinjiang is high,and there are many risk factors,which should be highly valued.

关 键 词：慢性阻塞性肺疾病 患病率 危险因素 

分 类 号：R56[医药卫生—呼吸系统]